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United States Patent |
5,733,125
|
Foser
|
March 31, 1998
|
Denture
Abstract
In the case of a denture made of pre-fabricated teeth, that exhibits molars
and pre-molars for each jaw, upper and lower, at least on the upper molars
at the lingual position, an incising ridge (24) is provided. The incising
ridge is intended, in the occlusion position, to engage the masticatory
surface (18) of the antagonist of the lower jaw (14) in each case. The
masticatory surface (18) exhibits a sulcus (45) with at least some areas
of convex arcuate projection (20, 22) by means of which the antagonist
(14) may be centered in tripodized incuspidation on the incising ridge
(24).
Inventors:
|
Foser; Hans-Peter (Balzers, LI)
|
Assignee:
|
Ivoclar AG (LI)
|
Appl. No.:
|
647197 |
Filed:
|
March 11, 1996 |
Foreign Application Priority Data
| Mar 10, 1995[DE] | 195 08 762.3 |
Current U.S. Class: |
433/197 |
Intern'l Class: |
A61C 013/08 |
Field of Search: |
433/197,202.1,204,212.1,218
|
References Cited
U.S. Patent Documents
1665357 | Apr., 1928 | Gysi.
| |
1677662 | Jul., 1928 | Sprinkle | 433/197.
|
3060576 | Oct., 1962 | Hass | 433/197.
|
3755898 | Sep., 1973 | Warren.
| |
4208794 | Jun., 1980 | Gerber | 433/197.
|
4445863 | May., 1984 | Lang et al.
| |
Foreign Patent Documents |
405601 | Jul., 1966 | CH.
| |
130870 | Aug., 1919 | GB.
| |
Primary Examiner: O'Connor; Cary E.
Attorney, Agent or Firm: Thompson; John C.
Claims
What is claimed is:
1. A denture made of pre-fabricated teeth comprising: molars (12, 14) for
each upper and lower jaw, in which at least each of the upper jaw molars
is provided with an incising ridge (24) at lingual position, each of which
upper jaw molars, in occlusion position, engages a masticating surface
(18) of its lower jaw antagonist, characterized by the fact that the
masticating surface (18) of the antagonist (14) exhibits a fossa (45) with
at least some convex arcuate areas (20, 22), by means of which the
antagonist (14) may be centered in tripodized contact intercuspidation at
the incising ridge (24, at 80).
2. A denture according to claim 1 characterized by the fact that concave
arcuate areas (36, 38) adjoin the at least in part convex arcuate areas
(20, 22) of the antagonist for the purpose of forming an inter-coronal
free space (46).
3. A denture according to claim 1, wherein the upper jaw molars have a
central fossa (48), and the lower jaw molars have a central fossa (45) and
a buccal ridge (26), characterized by the fact that the distance between
the central fossa (48) and the lingual ridge (24) of the teeth of the
upper jaw (12) is smaller than the distance between the central fossa (45)
and the buccal ridge (26) of the teeth of the lower jaw (14).
4. A denture according claim 1, wherein the lower jaw molars have a central
groove (50) and a transverse groove (70), characterized by the fact that
the upper jaw's incising ridge (24) engages, in occlusionary position the
fossa (45) of the antagonist 14 of the lower jaw, which fossa (45) is
formed by the crossing between the central groove (50) and the transverse
groove (70).
5. A denture according to claim 1, characterized by the fact that at least
one of the upper jaw molars exhibit two sulci (74, 76), one positioned
opposite the other, such that one sulcus (76) is provided at the
mesio-buccal position, and one sulcus (74) is provided at disto-lingual
position, which are connected to one another by means of a central fossa
(50), which extends slightly obliquely in a mesio-buccal/disto-lingual
direction, such that from the mesio-buccal sulcus (76) a transverse fossa
(70) extends in the buccal direction, and from the disto-lingual sulcus
(74), a transverse fossa (70) extends in the lingual direction.
6. A denture according to claim 1, wherein the lower molar are provided
with buccal ridges, characterized by the fact that the lingual ridges (92,
60) of the lower jaw molars (14), in comparison with the buccal ridges
(90, 26), are shifted toward the edge of the tooth, so that their apices,
in the mesio-distal direction are at greater distances from each other
than the apices of the buccal ridges (90, 26) of the lower jaw molars
(14).
7. A denture according to claim 1, characterized by the fact that ridges
(24, 52, 66, 68) of the upper jaw molars (12) approximately describe a
parallelogram, whose longest extent extends from the mesio-buccal to the
disto-lingual.
8. A denture according to claim 1, characterized by the fact that ridges
(26, 60, 90, 92) of the lower jaw molars (14) describe a rectangle with
sides of approximately the same length.
9. The denture according to claim 1 wherein the upper molar (12) is further
provided with a ridge (52) at buccal position, and wherein the lower molar
(14) is provided with ridges (26 and 60) at lingual and buccal positions,
characterized by the sides of the ridges (24, 52, 26 and 60) being
provided with concave areas (36, 38, 40 and 42), which concave areas are
adjacent to at least one convex area (20, 22, 30, 32 and 34), and wherein
sulci are provided between the sides of the ridges.
10. A denture made of pre-fabricated teeth comprising: molars and
pre-molars for each upper and lower jaw, in which at least the upper jaw
molars at lingual position exhibit an incising ridge (24), each of which,
in occlusion position, is intended to engage the masticating surface (18)
of its lower jaw antagonist in each case, characterized by the fact that
the masticating surface (18) of the lower jaw antagonist (14) exhibits a
sulcus (45) with at least some convex arcuate areas (20, 22), by means of
which the antagonist (14) may be centered in tripodized contact
intercuspidation at the incising ridge (24).
11. A denture according to claim 10, wherein at least one of the pre-molars
of the lower jaw exhibit two sulci (96, 98), characterized by the fact
that one ridge of the antagonist engage the sulci, the pre-molars of the
upper jaw exhibit a fossa (50) that extends mesio-distally.
12. A denture according to claim 10, characterized by the fact that at
least two pre-molars each exhibit a central fossa (50).
13. A denture according to claim 10, wherein at least one pre-molar of the
upper jaw is provided with a lingual ridge (88) and a central fossa,
characterized by the fact that the apex of the lingual ridge (88) of a
pre-molar of the upper jaw, with reference to the median lateral position
of the central fossa (50), is shifted toward the mesial by 5.degree. to
30.degree..
14. A denture according to claim 10, the first pre-molar of the upper jaw
is provided with a buccal ridge and a central fossa, characterized by the
fact that the apex of the buccal ridge (86) of the first pre-molar of the
upper jaw, with reference to the median lateral position with respect to
the central fossa (50) of this tooth is shifted toward the distal by
5.degree. to 30.degree..
15. A denture according to claim 10 wherein the lower molars and the
pre-molars have buccal and lingual ridges, characterized by the fact that
in the lower jaw the inclination of the ridges, viewed in sagittal
direction, decreases continually from the first pre-molar to the second
molar (14) and that the first pre-molar (95) exhibits an inclination of
ridge of approximately 40.degree..+-.3.degree. with reference to Camper's
plane, the second pre-molar (95) one of 33.degree..+-.3.degree., the first
molar (14) one of 27.degree..+-.3.degree. and the second molar (14) an
almost identical, or somewhat flatter inclination of ridge when compared
with the first molar (14).
Description
TECHNICAL FIELD
The present invention relates to a set of teeth or denture made of
pre-fabricated teeth with molars and/or pre-molars for each upper and
lower jaw, in which at least the upper jaw molars at lingual position
exhibit an incising ridge, each of which, ion occulsion position, is
intended to engage the masticating surface of its lower jaw antagonist.
BACKGROUND OF THE INVENTION
A denture is known from the Swiss patent CH-PS405 601. The masticating
effectiveness of the teeth is relatively good if a grinding function
stands in the foreground, due to the fact that they work in accordance
with the mortar and pestle principle. The masticating effect decreases to
a marked degree, however, if fibrous substances, such as meat that
exhibits fibrous orientation, or vegetables of the same type, are to be
reduced in size between the pre-fabricated teeth according to CH-PS-405
601 as a result of mastication. In the case of the previously-known
denture, a motorial rest is said to be created by virtue of the fact that
the radii of curvature in the case of convex surfaces that encounter one
another are selected in such a manner as to be considerably smaller than
in the case of concave surfaces. Such an embodiment, however, does not
preclude the possibility, for example, that the ridge of the upper jaw
might find its way to the mesio-distal edge of a lower jaw, which is
unfavorable from the standpoint of the situation of the load that is
imposed upon the tooth, but it also diminishes the motorial rest.
It is known that the lower jaw, in the process of mastication, passes
through a special curve extending in space, which is designated the
mastication loop. With reference to the molars of the lower jaw for
example, the mastication loop, shortly before occlusion, describes an
oblique motion, in both the lingual or buccal direction, as well as in the
distal direction of the lower jaw, toward the upper jaw. Due to this
shift, the antagonists regularly come into contact, initially on their
edges, and, in point of fact, regularly on that side on which less food is
reduced in size, on the so-called balancing side. In the case of natural
teeth, the inclination of the ridge is such that the balancing side also
draws the working side as a result of the workings of the masseter muscle
and medial pterygoideus muscle into so-called balanced occlusion. Support
on the balancing side has the advantage that the working side renders a
great mastication effect possible using relatively little muscular
strength, according to the principle of the one-armed lever.
The denture that is known from CH-PS-405 601 does not do justice to this
principle, or does so to only a slight degree. As a result of the concave
embodiment with relatively large radii, no, or only slight, guiding
function occurs on the balancing side. In addition, it may even happen
that the incising ridge makes its way lingually with respect to the
lingual ridge of the antagonist, and faulty occlusion results.
Natural teeth are subjected, as they approach the occlusion position, to a
front-eye tooth guidance, which permits, due to the good guiding power of
natural eye teeth, definite occlusion positioning. It is known how to
realize this concept of front-eye tooth guidance, even in the case of
artificial teeth. In the case of a full plate, however, the result, when
doing so, is comparatively great lateral forces that are introduced into
the anterior region of the plate, which forces may be absorbed between the
jaw and the plate to no more than an inadequate degree. Accordingly, the
plate glides in a horizontal plane, which can cause pain and be damaging
to tissues. In the case of a partial plate, however, it would be desirable
to be able to realize this concept as well, so that the dentures may be
used in either full or partial plates.
Furthermore, dentures are known from the U.S. Pat. No 3,755,898 that
combine both convex surfaces of lesser radii with concave surfaces of
greater radii. In addition, a multitude of transverse sulci, each of which
is closed on one side and open on the lingual or buccal end, and by means
of which, nutritive chyme that has been reduced in size is to be
expressed. Such a denture exhibits, fundamentally, no incising ridge, but
rather a kind of grinding bar on the upper jaw that extends in the
mesio-distal direction.
This form of tooth does not, however, permit the desired motorial rest and
cannot follow the mesio-distal movement component toward the end of the
mastication loop by approximating the occlusion position.
In addition, comparatively sharp edges are unfavorable if ceramic teeth are
combined with natural teeth. The ceramic teeth are regularly markedly
harder than the natural teeth, so that undesired wear of the natural teeth
occurs. Therefore, the solution known from U.S. Pat. No. 3,755,898 is
basically well-suited only for plastic teeth at best.
By contrast, the underlying task of the invention is to create a denture,
which lends itself well to both full and partial plates, which renders the
realization of various occlusion concepts possible, and one that is, in
spite of industrial pre-fabrication, and improved mastication effect,
universally applicable.
This task is resolved according to the invention by making a denture of
pre-fabricated teeth with molars and/or pre-molars for each upper and
lower jaw, in which at least the upper jaw molars at lingual position
exhibit an incising ridge, each of which, in occlusion position, is
intended to engage the masticating surface of its lower jaw antagonist in
each case, characterized by the fact that the masticating surface of the
antagonist exhibits a sulcus with at least some convex arcuate areas, by
means of which the antagonist may be centered in multiple contact
intercuspidation at the incising ridge.
It is particularly favorable that, using the centering in multiple contact
intercuspidation according to the invention, particularly in tripodized
intercuspidation, improved masticatory effects may be achieved with lesser
masticatory power. The balancing side, in the case of the dentures
according to the invention finds its way, without further ado, into the
maximal occlusion position, so that the masticatory effect can then be
maximized on the working side via the masseter muscle. In the process,
because of the convex arcuate occlusion surfaces, it is possible to reduce
even fibrous foods quite readily, without having, for example, to realize
an incisor-like concept for the pre-molars in order to shift the cutting
function to the latter.
And yet, even in the course of a normal bite, the introduction of power is
optimized. It is possible to keep the support, briefly before maximum
power is applied, that is, briefly before the food is finally divided, at
at least two points of contact, or points of approach, preferably three
points of contact or approach, which are arranged in a substantially
symmetrical manner. The force vectors that are introduced are then
neutralized with reference to the horizontal plane, and it is only
necessary to make certain that the central point is oriented so as to be
about centrally located with respect to the ridge of the lower and upper
jaw.
According to the invention, the dentures may also be used for partial
plates, that is, with a natural tooth as the antagonist. In this process,
it is possible to exploit, in a particularly favorable manner, the fact
that the centering according to the invention is also possible when
natural teeth are the antagonists. By reducing the contact surfaces to the
three contact points, the masticatory effect is particularly good, without
precluding a grinding function. In this regard, it is particularly
favorable that the invention open the possibility of adding to the at
least partially convex arcuate areas, concave arcuate areas, which permit
an inter-coronal free space. In this way, it is possible to realize the
mortar and pestle principle, and it will be understood that the
continuation can occur in both mesio-distal or bucco-lingual direction,
and it may not necessarily occur, in each case, in the direction of a
ridge projecting from a central ridge, but it may also occur, for example,
in the direction of a transverse sulcus.
According to another advantageous embodiment, it is possible to render at
least two, preferably three or more, contact points between the incising
ridge and the antagonist possible by a contact between a buccal ridge of
the lower jaw and the buccal side of the central fossa of the upper jaw.
In this way, the introduction of force is shifted toward the lingual,
which is favorable for the normal bite, and additional guidance of the
lower jaw in the lingual direction occurs, which also prevents a cross
bite from occurring unintentionally.
In conjunction with the guidance of the teeth into the occlusion position
via the balancing side, it is particularly favorable if the distance
between the central fossa and a labial ridge of the molars is smaller than
the distance between the central fossa and the buccal ridge of the
corresponding antagonist of the lower jaw. Then, in practical terms, a
very wide guidance area is available on the upper jaw for the guidance of
the balancing side into intercuspidation.
An asymmetry and a transversal or sagittal shifting of the ridge and the
arcuate projections is favorable if the task at hand is to optimize the
contact points of the teeth.
It is particularly favorable if, in each case, a defined width of
masticating surface between approximately 5.7 and 7.0 mm for the
pre-molars of the lower jaw, and between, for example, 5.9 and 6.8 mm for
the molars of the lower jaw, and between approximately 4.8 and 7.3 mm for
the pre-molars of the upper jaw, and between, for example, 6.2 and 7.8 mm
for the molars of the upper jaw, is provided. By these means, a better
distribution of the burden is obtained in comparison with the known,
frequently quite narrow, teeth of the lower jaw, such that, surprisingly,
when precisely this width of tooth is present, optimal masticatory
function is extant, regardless of the size of the denture, which may, in
principle, be provided in a plurality of sizes, for example, in five
gradations of size, each of which differs from the other by 5% in each
direction, for example.
According to another advantageous embodiment, provision is made for the
incising ridge to arrive at a crossing of the central fossa and the
transverse fossa in the intercuspidation position, which is provided in
the case of the molars. The central and transverse fossae permit good
removal of food remnants and subsequent wetting with saliva, whereas it is
favorable that in the quadrants that are formed by the fossae, arcuate
protrusions extend to the ridge in each case that function as convex
arcuate areas, to which, in each case, concave arcuate areas may be
adjacent.
The formation of two sulci opposite one another, as they are provided in
particular, on the first molars of the upper jaw, also serve to promote
the asymmetrical structure of the dentures, but so, too, for example, does
the mesial or distal shifting of the lingual or buccal ridge of the first
pre-molars of the upper jaw. This shifting is particularly beneficial to
the laterotrusion, because the ridge of the pre-molars of the lower jaw
can move obliquely toward the lateral interior or exterior, without
colliding with the ridge of the upper jaw to too great an extent.
This also holds true for the shifted position of the lingual ridges of the
molars of the upper jaw across from the buccal ridges toward the periphery
of the tooth, which render a free laterotrusion motion possible.
According to the invention, provision is made so that across the entire
occlusion surface, concave and convex areas alternate with one another,
which promotes free, harmonic motion.
The latter is also supported by the sagittal torsion of the inclination of
the ridge from the first pre-molar as far as the second molar, as a result
of which the inclination of the ridge continually decreases, and not only
is the helicoidal torsion simulated; rather, the realization of various
occlusion concepts is simplified as well.
In an advantageous embodiment, provision is made so that in occlusion
position, the incising ridges engage at a definite distance from the edge
of the masticating surface of the antagonist. In this way, stress on the
periphery of the tooth and the motorial unrest induced as a result, is
avoided. The stress may, for example, occur within the median 60% of the
mesio-distal length of the masticating surface, to the extent that in the
mean, at least 20% distance is maintained between the point of stress and
the edge of the masticating surface.
According to the invention, provision is made for a statically localized,
lingualized intercuspidation, by means of which the physiological and
anatomical, as well as the aesthetic needs can be addressed. In this
regard, it is particularly favorable that the distally-arranged sulci of
the lower pre-molars permit the intercuspidizing of the lingual ridges of
the antagonists of the upper jaw.
As a result of the provision of an incising ridge as the primary ridge on
the tooth of the upper jaw, as well as due to the embodiment of a lower
jaw antagonist ridge at the mesio-lingual position, the mastication loop
can be completed at the arcuate protrusions formed there, and grinding
occlusions, as well as tilting, as they occur in the case of guidance
surfaces that are arranged outside the central position, which are always
to be feared, are certainly avoided.
Further details, advantages, and characteristics result from the
description of an embodiment that appears below by virtue of the drawing.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 shows a somewhat schematic representation of a section through an
arrangement of molars according to the invention in a denture according to
the invention, which are in tripodized intercuspidation;
FIG. 2 shows an occlusal view from above, onto an embodiment example of a
second molar of the upper jaw;
FIG. 3 shows an occlusal view from above, onto an embodiment example of a
first molar of the upper jaw;
FIG. 4 shows an occlusal view from above, onto an embodiment example of a
second pre-molar of the upper jaw;
FIG. 5 shows an occlusal view from above, onto an embodiment example of a
first pre-molar of the upper jaw;
FIG. 6 shows an occlusal view from above, onto an embodiment example of a
second molar of the lower jaw;
FIG. 7 shows an occlusal view from above, onto an embodiment example of a
first molar of the lower jaw;
FIG. 8 shows an occlusal view from above, onto an embodiment example of a
second pre-molar of the lower jaw;
FIG. 9 shows an occlusal view from above, onto an embodiment example of a
first pre-molar of the lower jaw; and
FIG. 10 shows a schematic view of the torsion when assembling a denture
according to the invention.
A denture according to the invention, 10, exhibits an upper jaw molar, 12,
as well as a lower jaw molar, 14, which can achieve occlusion. Both teeth
exhibit masticating surfaces or occlusion surfaces, 16 and 18, that face
one another. In the extended representation according to FIG. 1, both
teeth are in tripodized intercuspidation, in which convex areas, 20, 22,
of the occlusion surface, 18, come into contact with an incising ridge 24
of the upper jaw molar, 12, which is present in the lingualized position.
The stippled representation of the upper jaw molar, 12, is intended to
show the inter-coronal free space clearly.
In the embodiment depicted in FIG. 1, in tripodized intercuspidation, the
occlusion surface 18, in buccal position, also comes into contact with the
occlusion surface 16, namely at a buccal ridge, 26, across from a
lingually inclined oblique surface of the occlusional surface, 16, on the
upper jaw molar, 12.
As FIG. 1 shows, convex areas, 20, 22, 28 on the lower jaw molar, 14, as
well as convex areas, 30, 32, 34, on the upper jaw molar 12, are
interchanged with concave areas, 36, 38 on the lower jaw molar, 14, as
well as concave areas, 40, 42, on the upper jaw molar, 12. As a result of
this, areas of movement extend laterally from the tripodized
intercuspidation, as they are indicated on the lower jaw molar, 14, with
the area of movement, 44, and an inter-coronal free space, 46, results.
The area of movement, 44, together with the concave areas that adjoin it,
36 and 38, but solely the buccal and lingual ridges 26 and 60, form, in
practical terms, a sulcus, 45 for the incising ridge, 24.
As FIG. 1 shows, in the tripodized intercuspidation, a central fossa, 48,
of the upper jaw molar, 12, and a central fossa, 50 of the lower jaw
molar, 14, are kept at a distance from each other. The occlusion surface,
18, of the lower jaw molars, 14, toward the buccal side, extends
relatively far, however, so that the buccal ridge, 26, on the opposite
flank, or an arcuate projection of the buccal ridge, 52, of the molar in
the upper jaw, there make contact.
It will be understood that the concave arcuate depressions 54, on the upper
jaw molar, 12, as well as the depressions 56 and 58 on the lower jaw
molar, 14, need not each be provided in the same plane as the convex
areas, 30, 32, or 20 and 22, respectively. For reasons of simplified
graphic representation, this is provided in this way here, whereas,
according to an advantageous embodiment, provision is made to embody the
arcuate depressions 54 through 58 shifted in the drawing plane, so that
the inter-coronal free space, 46, also covers a latero-trusion movement,
and is present not only in a bucco-lingual direction.
Preferably, the inter-coronal free space, 46, extends primarily in the
direction of the mastication loop as it approaches the position of
occlusion, to a limited degree, however, oblique to the latter.
In the representation according to FIG. 1, furthermore, the buccal ridge,
26, of the lower jaw molar, 14, and the lingual ridge, 60, of the lower
jaw molar, 14, are presented in one plane of the drawing, just as are the
corresponding buccal ridge, 52, and the incising ridge, 24, of the upper
jaw molar, 12. In the preferred embodiment example, however, the incising
ridge, 24, is shifted somewhat toward the distal, which is also beneficial
to the latero-trusion.
It will be understood, furthermore, that the representation according to
FIG. 1, pertains in each case, to the mesial ridge and sulci. According to
the invention, preferably, the molars exhibit preferably, in addition,
distal ridges, each of which is separated by a more or less pronounced
transverse fossa, 70, from the mesial ridges, and protrude, in a less
pronounced manner toward the antagonist than the latter. As a result of
this measure, it is possible to realize a graduated masticatory function
that ensures that in the case of slight requisite masticatory pressure,
the entire masticating surface is available to reduce soft foods, whereas,
when the grinding and cutting functions are called for, primarily the
incising ridge can work on the antagonist, and this may be accomplished,
in addition, in a position of balanced occlusion.
According to a particularly preferred embodiment, provision is made for
basal surfaces 62 and 64 to be permitted to extend in a substantially
straight manner, in an angle of about 70.degree. to the horizontal. This
is beneficial to the computer-supported setting-up of the teeth.
The width of the masticating surface of the lower jaw molar, 14, which
extends from the apex of the buccal ridge, 26, to the apex of the lingual
ridge, 60, is, in the instance of the embodiment depicted here, 6.5 mm,
from which, approximately, the measurements of the teeth of the present
embodiment may be derived.
The embodiment of the masticating surface, 16, of the second upper jaw
molar, 12, may be seen in FIG. 2. At the mesio-lingual position, the molar
exhibits the solidly embodied incising ridge, 24, which, in the case of
the representation according to FIG. 2, is arranged at the lower right,
and, at mesio-buccal position, the ridge, 52, which is, preferably,
embodied in a rather solid fashion.
Retiring, by contrast, at disto-buccal position, are a ridge, 66, and, even
more withdrawn at the disto-lingual position, a ridge, 68, is provided.
FIG. 2 shows that a central fossa, 50, is provided, which does not,
however, extend in a straight line, but is shifted, rather at mesial
position, opposite the distal position, toward the buccal. This
corresponds to the shifting of the ridges 24, 52, 66, and 68 toward one
another, which, with reference to the apices in each case, nearly describe
a parallelogram, whereas the corresponding ridges of the lower jaw, which
are visible from FIG. 6, describe, with their apices, a rectangle.
In addition, the central fossa, 50, branches, in the region between the
ridge 68 and the ridge 24, to a transverse fossa, 70, which finds its
continuation in the region between the ridge 52 and the ridge 66.
According to this embodiment, the central fossa 50 and the transverse
fossa 70 overlap in the branch that extends between the ridges 24 and 66.
No completely flat and smooth surfaces are provided next to the fossae and
ridges that are shown, but rather, arcuate protrusions, sulci and strips,
from which an arcuate projection 72 and an arcuate projection 73 are
particularly pronounced.
The corresponding embodiment of the first upper jaw molar is visible from
FIG. 3. The reference symbols that are used here correspond to those
according to FIG. 2. Here, too, the central fossa 50 and transverse fossa,
70, exhibit the lateral shift, in keeping with the shift of the ridges 52,
66, 24, and 68 with reference to one another. From FIG. 2 and FIG. 3, it
is possible to see that at the crossing point of the central fossa 50, or
rather, the branching off of the transverse fossa, 70, in each case, a
sulcus, 74 and 76, is formed. These sulci, too, are shifted toward one
another.
Like the second molar of the upper jaw, the first molar of the upper jaw
also exhibits a slightly parallelogram-shaped, distorted structure, which
engages and can collaborate particularly readily with the nearly square
structure of the antagonist on the lower jaw. However, the first molar is
preferably longer in mesio-distal direction, by about 2 to 10%, preferably
by about 8% and overall, somewhat greater.
In FIGS. 2 and 3, three points, 80, are indicated on the incising ridge,
24, which come to rest upon the corresponding three points in a sulcus of
the lower jaw antagonist in tripodized intercuspidation.
FIG. 4 shows how, in the embodiment form that is provided, the second upper
jaw pre-molar, 85, may be configured. A central fossa, 50, is provided,
which exhibits secondary fossae, 84, which are, however, clearly less
conspicuous, and form no more than mortising into the buccal ridge 86 and
the lingual ridge, 88.
The central fossa 50 forms practically a kind of axis of symmetry for the
second pre-molar in the mesio-distal direction. Taking this central fossa,
50, as a reference point, the buccal ridge, 86, lies obliquely away from
the center. By contrast, the lingual ridge, 88, is definitely shifted
toward the mesial.
It will be understood that if necessary, the ridge, 86, may be shifted
toward the distal, without further ado. As a result of this shifting, the
corresponding ridges of the lower jaw antagonists may be more readily
moved obliquely for laterotrusion.
A corresponding shift of the ridges, 88, and 86 is also extant in the case
of the first pre-molar of the upper jaw, 85, which is shown in FIG. 5.
The second lower jaw molar, 14, which is shown in FIG. 6, exhibits, in
addition to the mesial ridges, 26 and 60, distal ridges, 90 and 92, at the
buccal or lingual position, respectively. In the case of this tooth, the
central fossa, 50, and the transverse fossa, 70, each extend substantially
perpendicular to one another, and rather precisely in the middle of the
tooth, sulcus, 45, is provided at the crossing of the two aforementioned
fossae, 50 and 70, which may engage with the incising ridge, 24, in
tripodized intercuspidation at the points 80. It is possible to see that
due to the shifting of the ridges in the case of the upper jaw antagonist,
12, not only is there a shift in the mesio-distal direction, but also a
shift in the bucco-lingual direction, which facilitates the outward and
inward turning of the tooth into the occlusion position.
The first molar of the lower jaw, which is depicted in FIG. 7, exhibits an
embodiment that corresponds to that of the second molar of the lower jaw.
Here, too, identical parts are represented with identical reference
symbols, and the first molar is somewhat larger than the second molar. In
addition, the first molar exhibits, at the disto-buccal position, a
sulcus, 94, that extends outwardly, which prevents a straight surface that
is too long from existing in the mesio-distal direction on the incline of
the ridge, 90. Furthermore, the first molar of the lower jaw exhibits
three buccal ridges, 26, 90, and 93.
As may be seen from FIG. 7, the lingual ridges, 60 and 92 of the first
molar of the lower jaw are rather far removed from one another, so that
the transverse fossa, 70, at this position is rather wide. The distances
of the apices of the ridges 60 and 92 is greater than the distance of the
apices of the buccal ridges, 26 and 90. As a result of this fact, the
incising ridge, 24, of the first molar of the upper jaw can move slightly
as a result of the transverse fossa 70, without making contact,
prematurely with the lingual ridges of the lower jaw, and thus, it cannot
prevent the harmonious course of movement.
It will be understood that a corresponding embodiment can also be provided
for the second molar of the lower jaw, which is depicted in FIG. 6.
In FIG. 8, the second pre-molar, 95 of the lower jaw is depicted, the
position of which is determined by three ridges that lie opposite one
another, 87 and 88 lingually, and 86 bucally, which are separated by a
central fossa, 50. At points that are removed from one another, transverse
sulci, 84, of the central fossa, 50, are provided, which form sulci, 96
and 98, in the areas of their intersection. Provision is made so that the
lingual ridge, 88, of the second pre-molar of the upper jaw, comes to rest
in the sulcus 96, so that here, too, a good size-reduction effect is
possible.
The first pre-molar of the lower jaw, 95, which is depicted in FIG. 9, is
embodied, once again in accordance with the pre-molar that is depicted in
FIG. 8, and here, too, identical reference symbols refer to identical
parts.
As FIG. 10 shows, the inclination of the ridges of the teeth of the lower
jaws varies. In the representation according to FIG. 10, Camper's plain
should extend horizontally, and the inclination of the ridges of the first
pre-molar, 95, is approximately 40.degree..+-.3.degree. with reference to
Camper's plane. The inclination of the ridges is determined by a straight
line, 100, which is laid across the lingual ridge, 88 and the buccal
ridge, 86, or, in the case of molars, across the mesio-lingual ridge, 60,
and the mesio-buccal ridge, 26. The inclination of the ridge is, in the
case of the second pre-molar, 95, which is depicted above the first
pre-molar, 95, 33.degree..+-.3.degree.. In the case of the first molar,
14, which is depicted in FIG. 10 above the second pre-molar, the
inclination of the ridge is 27.degree..+-.3.degree., and, in the case of
the second molar, 14, which is depicted above it, somewhat less.
Accordingly, there is, when viewed in the sagittal direction, a torsion of
the masticatory surface, 18, around a sagittal axis. It is also possible
to see from FIG. 10 that the width of the masticatory surface, 102,
extends in the bucco-lingual direction between the apex of the buccal
ridge, 26, and that of the lingual ridge, 60, or between the apices of the
distal ridges, 90 and 92.
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